Active NPI
Leonard Joseph Kuskowski Jr., M. D.
- Obstetrics & Gynecology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 47790
- Practice address
- Nas Jacksonville, Building 554
Bureau of Medicine & Surgery Detachment Jacksonville
Jacksonville, FL 32212-0140 - Phone
- (877) 772-4373
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 47790 | GA | Primary |
Addresses
Primary practice location
Nas Jacksonville, Building 554
Bureau of Medicine & Surgery Detachment Jacksonville
Jacksonville, FL 32212-0140
Mailing address
Nas Jacksonville, Building 554
Bureau of Medicine & Surgery Detachment Jacksonville
Jacksonville, FL 32212-0140
Phone (877) 772-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Stony Brook, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 668-3483
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47790 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evms Academic Physicians and Surgeons Health Services Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| Osu GYN & OB Consultants LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
825 Fairfax Ave
Ste 310
Norfolk, VA 23507
Phone (757) 446-7900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba EVMS Medical Group
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Columbus, OH
- NPI 1073552493
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Norfolk General Hospital
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1710950001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAS JACKSONVILLE, BUILDING 554",
"address_2": "BUREAU OF MEDICINE & SURGERY DETACHMENT JACKSONVILLE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322120140",
"telephone_number": "877-772-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAS JACKSONVILLE, BUILDING 554",
"address_2": "BUREAU OF MEDICINE & SURGERY DETACHMENT JACKSONVILLE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322120140",
"telephone_number": "877-772-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSKOWSKI",
"first_name": "LEONARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "47790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.